WEBVTT
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This program is designed to provide general information with regards
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to the subject matters covered. This information is given with
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the understanding that neither the hosts, guests, sponsors, or station
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are engaged in rendering any specific and personal medical, financial, legal, counseling,
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professional service, or any advice. You should seek the services
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of competent professionals before applying or trying any suggested ideas.
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The information contained in this podcast is intended for informational
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purposes only and is not a substitute for individual professional
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legal advice. The podcast information was carefully compiled from vetted
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sources and references. However, Rose Resources outreach to safeguard the
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elderly cannot guarantee that you will not fall victim to
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a scam. Let's talk about scams. It's the must listen
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show for anyone who wants to protect themselves and their
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loved ones from scams. Every Tuesday at am Pacific time
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on K four HD Radio, Joyce Petrowski, founder of Rose,
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and her guests will provide valuable insights and practical tips
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on how to recognize and protect yourself from scams. And
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now here is your host, Joyce Petrowski.
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Hi, everybody, welcome, back.
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I trust you enjoyed last week's show with Brian talking
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about the urgency and why we need the scam prevention
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through education out there to educate everybody on how to
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recognize a scam and prevent yourself from falling victim to it.
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Today it is we are in the annual open enrollment
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for Medicare, and so we are going to be talking
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to Steve Slatnik about he's a Medicare agent and about
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some different Medicare scams and how you can protect yourself.
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But first, don't forget to go to the website Roseadvocacy
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dot Org. On the homepage you'll find our social media
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links and scroll down to the bottom you can sign
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up for our mailed and or emailed newsletter. You're gonna
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want to hit subscribe so you don't miss an episode,
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and you can also find all the episodes on YouTube.
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But also are Let's talk about Scams dot com website.
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So now let's bring Steven so we can get going.
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Hi Steve, Hi Joyce, thanks for having me.
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Thanks, how you doing.
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I'm doing great this morning. Like you said, it's open enrollment,
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so this is my busy time of the year, but
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things are going well.
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Good, good, good.
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Could you just take a minute and let everyone know
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your background and what it is you do.
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Sure. Yeah, I've worked in the financial services industry for
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about fifteen years. For the past over five years now,
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I've had my own insurance agencies and independent insurance agency.
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It's called Panga Insurance Services, and I'm an independent insurance broker.
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I specialize in health insurance and Medicare, so I work
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with a lot of seniors. And you don't necessarily have
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to be sixty five plus to have eligible for Medicare,
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but many of my clients, of course, are the majority
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of people in Medicare are sixty five plus, so I
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work with a lot of our seniors and Medicare eligibles.
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All right, well, very good.
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So annual enrollment started October fifteenth, Is that right?
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About a week ago?
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Correct? Yeah? And depending on what plan you have, I mean,
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if you have an advantage plan or if you have
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a supplement plan, they make it as confusing as possible,
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of course, but open enrollment can be a little bit different.
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But really for most people, if you want a January
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first effective date, so if you're making any changes in
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open enrollment, that will be done from Octo over fifteenth
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to December seventh is our window.
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And those changes take effect January first.
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That's correct, okay.
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And is there some other.
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Enrollment period that starts in January and runs for a
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few months.
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And that would be specific to if you had a
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Medicare advantage plan, so you do have a little bit
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of a buffer there. So if you're signing up for
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a Medicare advantage plan in January, or you have even
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a little bit after that, it could it would then
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take effect the first of the following month. So if
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you make a change in your Medicare advantage plan in January,
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that change would be effective for February first, for instance.
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But that's a specific to the Medicare advantage only for.
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That window, okay, all right, And then.
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I also want to clarify that my understanding of when
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you have to sign up you have a window to
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first when you first sign up for Medicare, and that's
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the three months before the month you turn sixty five,
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the month you turn sixty five, and three months after
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that that's your seventh month window.
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That's correct. The biggest I guess question or uh, what
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people don't always get right though, is if you are working,
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still working in your over sixty five, you don't have
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to sign up for Medicare if you have what's called
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credible coverage, and that normally means you have a large
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employer of twenty five plus employees. You'll get a letter
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every year saying that this is credible coverage. My prescription
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drug coverage is credible coverage, my health insurance is credible coverage.
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If you have if you get that letter every year,
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you work with a large employer, you have health insurance,
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and say this employer UH covers your health insurance one
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hundred percent, it might make sense you just keep that
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and you don't necessarily have to sign up for Medicare
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when you're sixty five. In that seven month window that
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you referred to, you then can have what's called a
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special election period, so when you decide to retire or
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you lose coverage, there's some other instances where you can
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have that. You can then can sign up for Medicare
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and be sixty seven years old, sixty eight years old,
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so you your age of turning sixty five no longer
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matters because you had credible coverage insurance this whole time,
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and you will not be penalized. So that's the Okay,
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one of the big things I think people just information wise,
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providing information wise that I do out there a lot,
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because a lot of people are still working a little
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bit later past sixty five, you know, ten years ago,
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twenty years ago, that might have not been in a case,
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but I think, I mean, I get a lot of
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people that are in their sixties that are still working,
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and we hold off on getting them medicare, especially if
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their plan is one hundred percent covering their insurance. So
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no pointing that you know, part be pretty much you know,
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almost two hundred dollars now every month.
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So and you can is it your current employer that's
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offering that coverage for you? Is it their responsibility to
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send you that letter?
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The insurance carrier, the insurance carrier, one of the two. Yeah,
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normally the insurance carrier takes we'll provide that that's part
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of their responsibility. Okay, So it'll normally directly come from them,
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but you know, depending on how the plan is set up,
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you know, maybe the HR, it.
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Could go to the HR of the company and then
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the HR distributes it to all the people that it
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applies to. So that's interesting I didn't know that part
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about it.
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One.
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Yeah, yeah, and so, and.
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You mentioned you won't get penalized because you have the
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credible coverage.
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So is there a time limit.
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Let's say let's say I'm sixty seven and I am
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still working and I have credible coverage, I have the
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letter to back it up, and then I decide to retire.
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Do I have a certain time limit before then I
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need to sign up for Medicare?
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Correct? Yeah, you don't have that seven month window. I
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believe it's a sixty day window in that case. Okay,
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Now the other thing is now when we're applying for
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Part B and these Medicare programs, processing takes a little
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bit of time. So if you know you are, my
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recommendation is if I know I'm sixty seven, I'm sixty eight.
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I held off on doing anything with Medicare and going
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in there. Signing up through Social Security is where you
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sign up for Medicare Part and B. Sometimes you're automatically
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sign up for Part A. But say you're sixty seven,
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you have not yet signed up for Medicare Part A
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Part B. You know you're retiring in September. We want
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to be pro active in that sense and and be
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signing up for Part B, you know, a month or
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two ahead of time, because processing times are based on
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how busy they get over there. So sometimes it's a
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couple sometimes it's three weeks processing. Other times it's been
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much longer. So make sure we're doing that early. Used
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to they used to let you in the Social Security system,
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they used to let you pick your effective date, like
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so I could an individual could go in there and say,
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I want my Part B to be effective September one,
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and they're doing this month in advance. They don't Maybe
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maybe if you go in person they would allow that,
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but when you're at least online, they're no longer like
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giving you that option. So they're just kind of processing
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it as quickly as they can, and then it's becoming
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effective you know, the first of the next month. But again,
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you know, sometimes that can take over a month or
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two months, you know, and in certain instances, right and
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going on with the THAL shutdown right now, I could
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be a basic if you're you're looking at medicare right now, man,
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you know, get on that as soon as possible.
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I bet they're not right, yeah, And you mentioned you
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know you might be able to pick your starting date.
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If you go to Soil Security in person, that's you
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better plan a whole day, because I know I had
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to do that. My mom passed away almost six years
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ago and I had to go down to SOL Security
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because we had an issue and it required a manager
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that I had to sit and go through everything with.
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And I made an appointment, and I thought, oh wow, okay,
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this is great.
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I can make an appointment.
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And all that did was get me through the first line,
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and then you have to go to the second line,
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and that could be really long, and then you check
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in at the second line, and I still waited two
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and a half hours before I could see somebody. So
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it was literally like a four to five hour you
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know timeslot, and everybody's busy, you know, like I say,
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you don't set aside time to talk to the irs
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or the sole security here or anything.
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But all right, so that's interesting. So scams.
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Have you seen or heard from your clients or maybe
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read anything about some current Medicare scams that are going on.
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Yeah, you know, my dad actually worked in this field
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as an attorney for quite some time. He's retired now,
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but he worked on like government scams which would include
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the Medicare and Medicaid system. And so this is huge
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amounts of money, right that they absolutely into these programs.
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So there's a lot of incentive right for fraudden because
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there's I mean we're talking millions plus.
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Right right, more Yeah, billions.
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I mean there's hundreds of million dollar scams constantly going
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on where they are people are.
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Billing frauduling charges right, quaduling.
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Charges and using people's information, whether they know it or not,
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to run up these charges.
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So that's a that's I have a question there with that.
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You know, That's one of the things we warn people
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about in our presentations is you really need to monitor
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your Medicare statements because if you find fraudulent charges, then
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what's the best thing for them to do. Go directly
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to their Medicare agent about it, or go directly to
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the Medicare government office.
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Yeah, I go go. Medic recommends that you go directly
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to them. I can assist in a lot of different ways.
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I mean I so obviously my my expertise is more
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along the lines of the whole I can help you
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sign up with Medicare.
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I can getting people on the right plan.
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I get you people on the right plan. I analyze
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different prescription drug plans and things like that, but yeah,
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I can. I can certainly point you in the right direction.
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But in terms of managing that, yeah, directly through medicare.
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Contact them as soon as possible. Contact your carrier as well.
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Most people ninety nine point nine percent of people are
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going to have their medicare connected to either an advantage
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plan or supplement plan. So you want to contact you know,
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your supplement or advantage carrier as well so that they're aware.
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And these carriers might pick up on it, you know,
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even before you and be the ones that are notifying
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you of chargers that just don't look right to them.
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Yeah, all right. Yeah.
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I had a lady once tell me, you know, she
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was monitoring her statements and there was like ten thousand
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dollars in catheters and she's like, I've never used a catheter, so,
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you know, and it happens, right, and there might be